Guide Questions and Answers
Verified Solutions Latest Update
(2026/2027)
Question:
Assessment:
Answer:
Question:
collecting vital signs, pain levels, other signs/ symptoms
Diagnosis:
Answer:
nurse makes a nursing diagnosis based on assessment of patient; not a
medical diagnosis
Question:
Planning:
Answer:
nurse comes up with client-centered goals; need to be measurable (client
will ambulate 10 meters 3x daily for 2 wks)
,Question:
Implementing:
Answer:
Question:
following through with plan that was developed for the patient
Evaluation:
Answer:
Question:
goal was met, partially met, not met; how effective the plan was for the
patient and what should be changed for the patient
Normal range for temperature
Answer:
96.8-100.4
Question:
Normal range for pulse
Answer:
60-100
,Question:
Normal range for respirations
Answer:
12-20
Question:
Normal range for BP
Answer:
100/60-140-90
Question:
Normal range for pulse ox.
Answer:
>95%
Question:
SOLER
Answer:
Question:
sit close, observe, lean forward, eye contact, relax
Types of pain
, Answer:
Question:
acute, chronic, cancer, by inferred pathology, idiopathic
Pain threshold
Answer:
Question:
level of stimulus needed to produce the perception of pain
Pain tolerance
Answer:
Question:
amount of pain a patient endures without its interference of ADLs
Factors influencing pain
Answer:
Question:
age, fatigue, genes, neurological functions, social factors,
spiritual factors, psychological factors, cultural factors
Behavioral responses to pain
Answer: